CSS Kenya - Fraud Analyst - Jobs in Kenya

CSS Kenya - Fraud Analyst - Jobs in Kenya


Job title:
  • Fraud Analyst

    Our client is a global health service company that administers employee benefits programmes, healthcare and crisis management services geared towards helping people improve their health, well-being and peace of mind.

    They seek to hire a diligent Fraud analyst who will be tasked with monitoring accounts for fraud, innovating fraud prevention strategies and resolving fraud cases.

    Responsibilities

  • Reviewing and analyzing triggered cases based on pre- and post-payment risk assessments and take appropriate action.
  • Assist in analyzing files that are passed on to the FWA team for suspected fraud, waste or abuse.
  • You support the team of investigators in gathering facts on suspected cases with a special focus on African health care providers.
  • Giving advice for claims release and track steps taken accordingly.
  • Assisting in reaching out to suspected providers in Africa and conduct fact-finding interviews.
  • Helping reveal patterns of fraud, waste or abuse in your designated region through data-mining exercises.
  • Based on your initial analysis, you are able to summarize your findings in a report, to be directed to the region’s senior investigator.
  • Following up with stakeholders to ensure deadlines are met and any delays are communicated proactively.
  • Managing the workload proactively, communicating with the manager any risks or challenges to targeted completion dates.
  • Ability to identify and take an active role in optimizing workflows of the department.
  • Taking initiative and showing confidence in your correspondence with internal and external parties.

    Qualifications
  • Bachelor degree or equivalent through experience.
  • Any prior experience analyzing Fraud in the financial or insurance in the field.
  • Excellent knowledge of English and French.
  • Any additional languages are a plus.
  • Good medical knowledge or a strong interest in exploring the medical field is preferred.
  • Strong knowledge of Microsoft Office, especially Excel.
  • Analytical and have a critical mindset.
  • Decisive and able to work independently as well as within a team.
  • Ability to act with the highest integrity and respect for procedures and regulations.
  • Ability to work efficiently and accurately.
  • You are excellent in setting priorities.

    How to Apply
  • Please only send your CV quoting the job title in the email subject (Fraud Analyst) to vacancies@corporatestaffing.co.ke before 7th June 2019
  • Kindly indicate current/last salary on your CV.
  • We do not charge any fee for receiving your CV or for interviewing.
  • Only applicants meeting the strict criteria outlined above will be contacted for interviews.
  • For more information and job application details, see; CSS Kenya - Fraud Analyst - Jobs in Kenya

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